"Holding the Baby" is the 321st episode of Casualty and the 1st episode of the 16th series. It was preceded by "Breaking the Spell - Part Two" and followed by "Dirty Laundry". The episode was directed by Adrian Bean and written by Stephen McAteer.
Josh's erratic driving on his way to answer an emergency call results in a horrific crash with an oncoming vehicle, leaving new paramedic Nikki with a difficult decision over who to treat first. Back at Holby A&E, she learns that Josh could face serious repercussions after jumping a red light on the way. To make matters worse, Duffy's baby is about to put in an early appearance.